Maccio, Jennifer

Maccio, Jennifer is an individual health care provider with primary practice located at 2071 San Joaquin Hills Rd , Newport Beach CA 92660-6505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Maccio, Jennifer can be contacted via phone (949) 759-1720.

Contact Information

Primary practice address
2071 San Joaquin Hills Rd Newport Beach CA 92660-6505
Phone: (949) 759-1720
Fax: (949) 759-1442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN9315548 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95011121 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95015296 California

Profile Details

NPI number 1720429152
LBN Legal business name Maccio, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2013
Last updated Mar 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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